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Ch 34

Neurosurgery

QuestionAnswer
Transmits information to Neurons, Muscles & Glandular tissues? Neuron
Acts as the sending & receiving area for nerve impulses & is the energy center for the cell Soma
Carries Nerve impulses away [Efferent connection] from the cell Axon
Carries nerve impulses toward [Afferent connection] the cell Dendrites
Bone that provides structure for the forehead & its orbits Frontal Bone
2 Bones on either side of the skull. Provide structure for the sides & roof of the cranium Parietal Bones
2 Bones on either side of the skull. Contribute to the structure for the sides of the cranium Temporal Bones
Bone that provides structure to the back of the skull & a portion of the floor of the cranium. Where the visual cortex of the brain is located. Occipital
Thin membrane that connect the skulls bony plates Suture
Coronal, Sagittal, Lambdoid & Squamous are what? Four main sutures that connect the plate of the skull
The outermost layer of meninges & is composed of very dense, fibrous tissue. Dura Mater
Middle layer of meninges made up of very delicate serous membrane that has the appearance of a spider web Arachnoid Mater
The innermost layer that is closest to the brain. Has a vascular membrane containing areolar connective tissue. Pia Mater
Space filled with cerebrospinal fluid that circulates over all parts of the central nervous system Subarachnoid space
The outermost layer of the brain composed of nerve cells and blood vessels Gray Matter (Cerebral Cortex)
Controls higher-level functions like memory, thinking, and problem-solving Cerebral Cortex
The largest portion of the human brain and is also known as the forebrain. Accounts for 88% of the total weight of the organ Cerebrum
Ridges "Convolutions" that cover the surface of the Cerebrum Gyrus
Shallow grooves/depressions on the surface of the Cerebrum Sulcus
Deep grooves that divide the cerebrum into lobes Fissures
3 main sections of the brain Cerebrum, Cerebellum, & Brain Stem
Lobes of the cerebrum Frontal, Parietal, Occipital, and Temporal lobes
Dendrites, Axon & the Cell body Components of a Neuron
2nd largest structure of the brain Cerebellum
Part of the brain that is posterior to the medulla oblongata & inferior to the Cerebrum's occipital lobe Cerebellum
Lowest part of the brain stem & continuous with the spinal cord Medulla Oblongata
Distal most area of the spinal cord of spinal nerves Filum Terminale
Network of arteries that give rise to to the other arteries that supply blood to the cerebral hemisphere Circle of Willis
Branch from the Common Carotid artery, provides brain with most of its blood Internal Carotid Artery
Branch from the Common Carotid that divides into the Anterior Cerebral Artery & Posterior & middle Cerebral Artery Internal Carotid Artery
Artery which supplies blood to to the cerebrum medial surface & middle cerebral artery Anterior Cerebral Artery (ACA)
Network of arteries that ensures continuity of blood supply to the brain if any of the arteries are compromised. Circle of Willis
Branch of Internal Carotid which supplies blood to the lateral surface of the Cerebrum Middle Cerebral artery (MCA)
Arteries that unite and form the single basilar artery that divides to form the posterior cerebral arteries Vertebral Arteries
Arteries that serve the Occipital and Temporal Regions of the Cerebrum Posterior Cerebral Arteries
Provides structure & protects the Spinal Cord Vertebral Column
Cartilaginous cushions that separate the vertebrae Intervertebral Disks
Tough outer layer of outer layer of of vertebral disks Annulus Fibrosus
Soft gelatinous core of the vertebral disks Nucleus Pulposus
connect the left and right hemispheres of the brain & allows for communication between hemispheres Corpus Callosum
# of Cervical Vertebrae 7
# of bones that make up the Vertebral column 33
1st cervical vertibrae Atlas
2nd cervical vertebrae responsible for flexion & extension of the head Axis
# of Thoracic Vertebrae 12
# of Lumbar Vertebrae 5
# of Sacral Vertebrae 5 (considered part of the pelvic girdle)
The spinal cord begins at Foramen Magnum
Spinal cord ends at Cauda Equina
Nerves that look like horses tail Cauda Equina
What is the function of the Dura Arachnoid & Pia Mater Conduct impulses & serve as a spinal reflex center
# of cranial bones 12
CN III Oculomotor
CN IV Trochlear
CN V Trigminal
CN VI Abducens
Cranial Nerve that Innervates a muscle which moves the eye CN VI Abducens
Cranial Nerve that is responsible for sensory innervation of the face and motor innervation to muscles of mastication, Tympanic Membrane CN V Trigeminal
Cranial Nerve that controls an extraocular muscle CN IV Trochlear
Cranial Nerve that is responsible for motor innervation of the upper eyelid muscle, extraocular muscle and pupillary muscle CN III Oculomotor
Two Nervous Systems of the body Central Nervous System (CNS) & Peripheral Nervous System (PNS)
Nervous system that which is the brain & spinal cord Central Nervous System (CNS)
Nervous System comprised of Nerves that Communicates to the CNS Peripheral Nervous System (PNS)
2 divisions of the Peripheral Nervous System Autonomic & Somatic
Involuntary division of the Peripheral Nervous System Autonomic
Division of Peripheral Nervous System that controls voluntary muscle movement Somatic
2 nervous systems that that the Autonomic nervous system is responsible for Sympathetic and Parasympathetic
Nervous System in charge of Fight or Flight Sympathetic Nervous System
Nervous system responsible for resting functions Parasympathetic Nervous System
Pre operative brain mapping Functional MRI
MRI technology with a head frame and magnetic markers called fiducials to pinpoint a particular location in the brain& provide precise coordinates for surgery Stereotactic MRI
Technology that provides images of vascular structures. Useful for visualizing the cerebral circulation Magnetic Resonance Angiography (MRA)
Arterial catheter used to inject a contrast medium in patients arterial system. helps diagnosis of Cerebral aneurysms & arteriovenous malformations Angiography
Used with bits and attachments for making burr holes Hudson Brace
Horseshoe or pin fixation device for neurosurgical cranial positioning Mayfield
Instrument used for scalp hemostasis and resembles a Crile or Kelly hemostat except the curve is to the side Dandy
Instrument used to extract pieces of the nucleus pulposus in a discectomy Pituitary Rongeurs
A system used in a spinal case that precisely delivers an instrument to a target at any point within a defined space Stereotaxis
Monitoring used intraoperatively. Continuous evaluation of a patient's nervous system Neurophysiological
Emits a variable ultrasonic energy field that emulsifies abnormal tissue while preserving normal neural tissue Ultrasonic Aspirator (CUSA)
Intracarotid amobarbital procedure, is a diagnostic test that maps language and memory function in the brain's hemispheres WADA test
Surgical position that allows position used for exposure of the unilateral temporal, occipital lobe, brain stem, or cerebellum. Lateral or Semi Lateral
Position allows bilateral access to occipital, brain stem or cerebellum. Requires the use of 3-pin skull fixation device attached to a frame Sitting
Surgical position; bilateral access to occipital, cerebellum, or brain stem. Chest rolls, pillow or Mayfield horseshoe headrest Prone
Thrombin Gelfoam, Gelfoam powder, and surgicel are cut to the same size as what Cottonoids
Gelfoam, Thrombin, Surgicel, and bone wax are what Hemostatic agents
Diuretic used to remove fluid from tissue and prevents swelling resulting from a trauma Mannitol
Octyl cyanoacrylate is also known as Dermabond
Used to close the edges of the skin that are not umder pressure Mastisol
Procedure to repair defects in the skull cranioplasty
The facial sinus used for surgical approach to a pituitary adenoma rather than traditional craniotomy Sphenoid bone
Cerebral Edema or Infection is a concern after what procedure Craniotomy
Master Gland the size of a grape Pituitary Gland
The removal of all or a portion of the pituitary gland. May utilize a Caldwell-Luc procedure to access the sell turcica Transsphenoidal Hypophysectomy
Weak spots in the walls of arteries that over time will balloon out from the arterior wall aneurysms
Patients with cerebral aneurysm generally are asymptomatic
Aneurysms are typically found at points of bifurcation
Once an aneurysm clip has been opened, it cannot be closed and used again
Premature closure of the cranial sutures of an infant is called Craniosynostosis
Cranial sutures should stay open until what age 2 years
Surgery for craniosynostosis is usually done between what ages 6 weeks & 6 months
Ventricular Peritoneal (VP) & Ventricular Arterial (VA) shunt is used to divert Cerebrospinal Fluid
Shunts are used to divert cerebrospinal fluid to prevent Intracranial pressure
The distal shunt may be placed in what cavity peritonal
Stimulators that send electrical impulses to the nerves or spinal cord Deep Brain Simulators
Pump therapy that is used within the subarachnoid space to reduce pain by delivering medication directly to the source of pain. Intrathecal Pump
Removal of one or more cervical intervertebral discs followed by spinal fusion to restore continuity of the spine. Anterior Cervical Discectomy and Fusion
The narrowing of the spinal cord in the neck is Cervical Stenosis
Autologous bone graft is usually procured from the Iliac Crest
Foraminotomy is a Opening or Passage
Condition of the hand in which the median nerve is compressed by transverse carpal ligament Carpel Tunnel Syndrome
Procedure in which the goal is to free the ulnar nerve from the medial epicondyle groove. Ulnar Nerve Transposition
Created by: kinseyj27
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